Active NPI
Frank Severino
- Hearing Instrument Specialist
- Orange Park, FL
National Provider Identifier
1740799469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5249
- Practice address
- 2108 Park Ave Ste 108
Orange Park, FL 32073-5589 - Phone
- (904) 375-0658
- NPI assigned
- Sep 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS5249 | FL | Primary |
Addresses
Primary practice location
2108 Park Ave Ste 108
Orange Park, FL 32073-5589
Mailing address
4765 Hodges Blvd Ste 14
Jacksonville, FL 32224-5279
Phone (604) 516-4149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS5249 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextgen Hearing Centers | Hearing Instrument Specialist | Current | Accepting new patients |
Locations
2108 Park Ave
Ste 108
Orange Park, FL 32073
Phone (904) 375-0658
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Instrument Specialist
- Orange Park, FL
- NPI 1922631894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1740799469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4765 HODGES BLVD STE 14",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322245279",
"telephone_number": "604-516-4149",
"fax_number": "604-516-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 PARK AVE STE 108",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735589",
"telephone_number": "904-375-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERINO",
"first_name": "FRANK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-26",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.